Durable usage of patient-reported outcome measures in clinical practice to monitor health-related quality of life in head and neck cancer patients
Durable usage of patient-reported outcome measures in clinical practice to monitor health-related quality of life in head and neck cancer patients
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DOI：
10.1007/s00520-017-3808-3
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发表时间：
2017-12-01
影响因子：
3.1
通讯作者：
Verdonck-de Leeuw, I. M.
中科院分区：
文献类型：
--
作者：
Duman-Lubberding, S.;van Uden-Kraan, C. F.;Verdonck-de Leeuw, I. M.
采用混合方法设计，对头颈部恶性肿瘤（HNC）患者实施患者报告结局量表（PROMs）监测健康相关生活质量（HRQOL）进行5年随访。计算了在门诊进行定期随访的HNC患者中OncoQuest（一种用于监测HRQOL的触摸屏计算机系统）的使用率和随后的护士咨询，以及曾经使用者和从未使用者之间的差异（社会人口统计学和临床特征）。对护理会诊内容进行调查。从HNC患者和头颈外科医生的角度探讨了不使用（障碍）或不使用（促进者）OncoQuest和护士咨询的原因，OncoQuest的使用率为67%，护士咨询的使用率为79%。OncoQuest的使用与肿瘤亚部位和肿瘤分期显著相关。在护士咨询期间最常讨论的话题（> 40%）是整体生活质量（97%），头颈癌相关症状（82%），其他身体症状如疼痛（61%）和心理问题如焦虑（44%）。病人和头颈外科医生都报告了在临床实践中实施PROM的几个障碍和促进因素，在临床实践和护士咨询中使用PROM是持久的，即使在引入5年后。这项研究有助于更好地了解实施的长期随访，从而指导未来的研究和项目，旨在在临床实践中实施PROM，以监测（头颈部）癌症患者的HRQOL。
To investigate the long-term follow-up (5 years) of implementing patient-reported outcome measures (PROMs) in clinical practice to monitor health-related quality of life (HRQOL) in head and neck cancer (HNC) patients.A mixed method design was used. The usage rate of OncoQuest (a touch screen computer system to monitor HRQOL) and the subsequent nurse consultation was calculated among HNC patients who visited the outpatient clinic for regular follow-up, as well as differences between ever users and never users (sociodemographic and clinical characteristics). The content of the nurse consultation was investigated. Reasons for not using (barriers) or using (facilitators) OncoQuest and the nurse consultation were explored from the perspective of HNC patients, and of head and neck surgeons.Usage rate of OncoQuest was 67% and of the nurse consultation 79%. Usage of OncoQuest was significantly related to tumor subsite and tumor stage. Topics most frequently (> 40%) discussed during the nurse consultation were global quality of life (97%), head and neck cancer related symptoms (82%), other physical symptoms such as pain (61%), and psychological problems such as anxiety (44%). Several barriers and facilitators to implement PROMs in clinical practice were reported by both patients and head and neck surgeons.Usage of PROMs in clinical practice and a nurse consultation is durable, even 5 years after the introduction. This study contributes to better insight into long-term follow-up of implementation, thereby guiding future research and projects that aim to implement PROMs in clinical practice to monitor HRQOL among (head and neck) cancer patients.